Online Forms


Payroll

W-4
Direct Deposit
Faculty Sick Leave Reports
Sick Bank Access Request Form - CCRIPSA
Sick Bank Donation - ESPA
Sick Bank Access Request Form - ESPA
Sick Bank Donation - FACULTY
Sick Bank Access Request Form - FACULTY
Vacation Leave Request


Benefits

Affidavit of Student Status
Benefit Package Overview
Dental Claim Form
FSA Enrollment Form
FSA Medical Reimbursement Claim Form
FSA Dependent Reimbursement Claim Form
FY09 Co-Share CCRI
Group Legal Enrollment Form
Health Insurance Enroll/Change/Waive Form
Health Insurance Waiver Form
Life Insurance Enrollment Form
Life Insurance Beneficiary Form
Medication Order FormNew!
Pharmacy Reimbursement FormNew!
Phased Retirement Form
Sabbatical/Study Leave Procedures & Form
Savings Bonds
Tuition Waiver and Policy for CCRI Classes
Tuition Waiver for RIC & URI Classes
Certification of Health Care Provider (FMLA:WH-380)
COBRA Notification Form


New Employee Forms (for supervisors only)

Position Posting Request   AND   Request To Fill (RF1) (two forms must be submitted together)
Adjunct Faculty Authorization Form (for department chair use only)
Monthly Payroll Authorization (Honorarium Payment)
Monthly Payroll Authorization (Non-Credit Teaching)
Monthly Payroll Authorization (Non-Teaching)
Bar of Claims (CS-386)
Criminal Background Check
Drug-Free Workplace Form
Employment Eligibility Verification (I-9)
Employment Application (CS-14)


Retirement Forms

403(b) Retirement AuthorizationNew!
457(b) Deferred Compensation Plan Authorization (for Classified Employees)
457(b) Deferred Compensation Plan Authorization (for NonClassified Employees)
Catch-Up FormNew!
Group Supplemental Retirement Enrollment Form New!
Group Supplemental Retirement Annuity Form
Group Supplemental Retirement Change Form



Working at CCRI

CCRIPSA Bonus Project Proposal/Procedures 2008-09 New!
20-Year Statutory Status Application (NonClassified)
Performance Evaluation
Classified Evaluation Form (print version)
Classified Evaluation Form (electronic version)
Non-Classified Evaluation Form (print version)
Non-Classified Evaluation Form (electronic version)
Injury Report  (two forms must be completed & submitted together)

 


Miscellaneous

Certification of Health Care Provider
Emergency Contact Form
Exit Survey
Exit Interview
Personal Data Change Form
Request for Leave (FMLA)
Tobacco Affidavit New!

Go to top of page

Get Adobe ReaderMost links require Adobe Acrobat Reader to view - Download here

†MS Word documents require MS Word to view or print